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Interpretable Dynamic Treatment Regimes

可解释的动态治疗方案

Precision medicine is currently a topic of great interest in clinical and intervention science. A key component of precision medicine is that it is evidence-based, i.e., data-driven, and consequently there has been tremendous interest in estimation of precision medicine strategies using observational or randomized study data. One way to formalize precision medicine is through a treatment regime, which is a sequence of decision rules, one per stage of clinical intervention,…

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Improving efficiency and robustness of the doubly robust estimator for a population mean with incomplete data

改进不完整数据下总体均值双重稳健估计的效率与稳健性

Abstract Considerable recent interest has focused on doubly robust estimators for a population mean response in the presence of incomplete data, which involve models for both the propensity score and the regression of outcome on covariates. The usual doubly robust estimator may yield severely biased inferences if neither of these models is correctly specified and can exhibit nonnegligible bias if the estimated propensity score is close to zero for some observations. We…

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Semiparametric transformation models for the case-cohort study

病例队列研究的半参数变换模型

A general class of semiparametric transformation models is studied for analysing survival data from the case-cohort design, which was introduced by Prentice (1986). Weighted estimating equations are proposed for simultaneous estimation of the regression parameters and the transformation function. It is shown that the resulting regression estimators are asymptotically normal, with variance-covariance matrix that has a closed form and can be consistently estimated by the usual…

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Semiparametric efficient estimation of survival distributions in two-stage randomisation designs in clinical trials with censored data

删失临床数据中两阶段随机化设计的生存分布半参数有效估计

Two-stage randomisation designs are useful in the evaluation of combination therapies where patients are initially randomised to an induction therapy and then, depending upon their response and consent, are randomised to a maintenance therapy. In this paper we derive the best regular asymptotically linear estimator for the survival distribution and related quantities of treatment regimes. We propose an estimator which is easily computable and is more efficient than existing…

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Semiparametric estimators for the regression coefficients in the linear transformation competing risks model with missing cause of failure

失效原因缺失的线性变换竞争风险模型:回归系数的半参数估计

We consider the problem of estimating the regression coefficients in a competing risks model, where the relationship between the cause-specific hazard for the cause of interest and covariates is described using linear transformation models and when cause of failure is missing at random for a subset of individuals. Using the theory of Robins et al. (1994) for missing data problems and the approach of Chen et al. (2002) for estimating regression coefficients for linear…

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Semiparametric inference in observational duration-response studies, with duration possibly right-censored

治疗时长可能右删失的观察性时长—响应研究中的半参数推断

Once treatment is found to be effective in clinical studies, attention often focuses on optimum or efficacious treatment delivery. In treatment duration-response studies, the optimum treatment delivery refers to the treatment length that optimises the mean response. In many studies, the treatment length is often left to the discretion of an attending investigator or physician but may be abruptly terminated because of treatment-terminating events. Thus, a recommended…

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Locally-efficient robust estimation of haplotype-disease association in family-based studies

家系研究中单倍型与疾病关联的局部有效稳健估计

Modelling human genetic variation is critical to understanding the genetic basis of complex disease. The Human Genome Project has discovered millions of binary DNA sequence variants, called single nucleotide polymorphisms, and millions more may exist. As coding for proteins takes place along chromosomes, organisation of polymorphisms along each chromosome, the haplotype phase structure, may prove to be most important in discovering genetic variants associated with disease.…

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Semiparametric Efficiency and its Implication on the Design and Analysis of Group-Sequential Studies

半参数效率及其对群组序贯研究设计与分析的意义

Authors have shown that the time-sequential joint distributions of many statistics used to analyze data arising from group-sequential time-to-event and longitudinal studies are multivariate normal with an independent increments covariance structure. In Theorem 1 of this article, we demonstrate that this limiting distribution arises naturally when one uses an efficient test statistic to test a single parameter in a semiparametric or parametric model. Because we are able to…

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On the asymptotic properties of a flexible hazard estimator

灵活风险率估计量的渐近性质

Suppose one has a stochastic time-dependent covariate $Z(t)$, and is interested in estimating the hazard relationship $\lambda(t|\overline{Z}(t)) = \omega(Z(t))$, where $\overline{Z}(t)$ denotes the history of $Z(t)$ up to and including time t. In this paper, we consider a model of the form $\exp(s_n(Z(t)))$, where $s_n(Z(t))$ is a spline of finite but arbitrary order, and investigate the behavior of the maximum likelihood estimator of the hazard as the number of knots in…

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Semiparametric estimation of an accelerated failure time model with time-dependent covariates

含时变协变量的加速失效时间模型的半参数估计

A class of semiparametric accelerated failure time models is introduced that are useful for modelling the relationship of survival distributions to time dependent covariates. A class of semiparametric rank estimators is derived for the parameters in this model when the survival data are right censored. These estimates are shown to be consistent, and asymptotically normal with variances that can be consistently estimated. It is also shown that estimators within this class…

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Estimating Regression Parameters Using Linear Rank Tests for Censored Data

利用删失数据线性秩检验估计回归参数

A class of estimates for regression parameters in a linear model with right censored data is proposed. These estimates are derived by using linear rank tests for right censored data as estimating equations. They are shown to be consistent and asymptotically normal with covariance matrix for which estimates are proposed. Efficient estimates within this class are derived together with conditions when they are fully efficient.

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Exact Confidence Intervals Following a Group Sequential Trial: A Comparison of Methods

组序贯试验结束后的精确置信区间:方法比较

With interest in designing group sequential clinical trials increasing, methodology for analysing the data arising in such trials is needed. We discuss several approaches to constructing confidence intervals for the parameter of interest in a group sequential trial after the trial has ended. We compare these methods to one already in the literature and point out interesting differences.

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The Asymptotic Relative Efficiency of Score Tests in a Generalized Linear Model with Surrogate Covariates

含替代协变量的广义线性模型中得分检验的渐近相对效率

In many epidemiological studies, the exposure variable of interest cannot be measured directly. The classical approaches to errors in variables in regression do not extend easily to the nonlinear models commonly used in epidemiological research. Furthermore, the traditional additive measurement error model cannot adequately represent many surrogate relationships. By considering the effect of using surrogate independent variables on the efficient score statistic, some of the…

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Exact confidence intervals following a group sequential trial: A comparison of methods

组序贯试验结束后的精确置信区间:方法比较

With interest in designing group sequential clinical trials increasing, methodology for analysing the data arising in such trials is needed. We discuss several approaches to constructing confidence intervals for the parameter of interest in a group sequential trial after the trial has ended. We compare these methods to one already in the literature and point out interesting differences.

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The asymptotic relative efficiency of score tests in a generalized linear model with surrogate covariates

含替代协变量的广义线性模型中得分检验的渐近相对效率

In many epidemiological studies, the exposure variable of interest cannot be measured directly. The classical approaches to errors in variables in regression do not extend easily to the nonlinear models commonly used in epidemiological research. Furthermore, the traditional additive measurement error model cannot adequately represent many surrogate relationships. By considering the effect of using surrogate independent variables on the efficient score statistic, some of the…

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A Modified Log Rank Test for Highly Stratified Data

高度分层数据的修正对数秩检验

Clinical trials often employ a stratified randomization so that treatment arms are balanced within prognostic factors. In these circumstances the use of the ordinary log rank test for comparing treatment groups with respect to survival is invalid. The stratified log rank test, although valid, loses efficiency as the number of strata increases. This paper proposes a modified log rank test that is fully efficient when there is no strata effect and is more efficient than the…

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A modified log rank test for highly stratified data

适用于高度分层数据的修正对数秩检验

Clinical trials often employ a stratified randomization so that treatment arms are balanced within prognostic factors. In these circumstances the use of the ordinary log rank test for comparing treatment groups with respect to survival is invalid. The stratified log rank test, although valid, loses efficiency as the number of strata increases. This paper proposes a modified log rank test that is fully efficient when there is no strata effect and is more efficient than the…

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Group Sequential Tests with Censored Survival Data Adjusting for Covariates

调整协变量的删失生存数据组序贯检验

Group sequential tests for the analysis of survival data that compare two treatments and allow for the adjustment of other concomitant variables are discussed. These methods allow early termination of a study if large treatment differences occur. Based on simulation results, we compare the operating characteristics of these adjusted tests with the unadjusted sequentially-computed log rank test.

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Group sequential tests with censored survival data adjusting for covariates

调整协变量的删失生存数据组序贯检验

Group sequential tests for the analysis of survival data that compare two treatments and allow for the adjustment of other concomitant variables are discussed. These methods allow early termination of a study if large treatment differences occur. Based on simulation results, we compare the operating characteristics of these adjusted tests with the unadjusted sequentially-computed log rank test.

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Repeated Significance Testing for a General Class of Statistics Used in Censored Survival Analysis

删失生存分析中一般统计量的重复显著性检验

The asymptotic joint distribution of a class of sequentially computed statistics used in survival analysis is derived when the individuals under study enter serially and are subject to random loss to follow-up. These results are used for constructing repeated significance tests over real time.

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A Large Sample Study of Cox's Regression Model

Cox 回归模型的大样本研究

Strong consistency and asymptotic normality are established for the maximum partial likelihood estimate of the regression parameter in Cox's regression model. Estimates are also derived for the underlying cumulative hazard function and survival distribution. We establish the asymptotic normality of these estimates and calculate the limiting variances.

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The asymptotic joint distribution of the efficient scores test for the proportional hazards model calculated over time

随时间计算的比例风险模型有效得分检验的渐近联合分布

The score statistic of the proportional hazards model calculated at different points in time is shown to converge asymptotically to a multivariate normal process with independent increments when individuals enter randomly throughout the course of the study.

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A Note on a Goodness-of-Fit Test for the Logistic Regression Model

逻辑回归模型拟合优度检验札记

A goodness-of-fit test for the logistic regression model is proposed which is asymptotically chi-squared and is computed as a quadratic form of observed counts minus the expected counts.

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